Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tracy Lee Mattingly-Miller, LPCC, NCC

Individual provider Professional Counselor · NPI 1790159002

Tracy Lee Mattingly-Miller, LPCC, NCC is a Mental Health Counselor in Richmond, Kentucky. Qualified in 1991, 35 years ago. Practices with Brightside Medical PC, a 280-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kentucky.

Years since qualifying
35
Licensed in
KY
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

1421 Lexington Rd
Richmond, KY 40475-1059
Phone: (859) 624-2454
Fax: (859) 624-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 105746 (KY)
Professional Counselor Taxonomy 101YP2500X · Licence 1205 (KY)

Record details

NPI number1790159002
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , NCC
Sole proprietorYes
NPI enumeratedNovember 24, 2015
Last updated in NPPESMay 26, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Brightside Medical Pc — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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